Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 20, 2012

Motivation in Stroke Rehabilitation

Four  different takes on it. At least they are doing better than the incredibly stupid idea of getting better at delivering bad news.    
My motivation is to prove how little my doctor actually knew and that it wasn't that hard to become an expert. But I wouldn't recommend my doctors non method at all. His sense of motivation must have been, keep every patient totally in the dark.

I can't find the questionnaire at all to see if it's anywhere close to valid.

1.   http://ajgg.org/AJGG/V7N2/2011-99.pdf

ABSTRACT
Objective. To develop and validate a Stroke Rehabilitation Motivation
Scale (SRMS).
Methods. In stage 1, the 28-item SRMS was adapted from the Sports
Motivation Scale and tested for internal and inter-rater reliability in 18
patients. The 7 most reliable items were selected for the 7-item SRMS.
In stage 2, the 7-item SRMS was tested in 13 additional patients.
Results. In a group of 19 men and 12 women, the mean total score of
the 7-item SRMS was 24.1 (standard deviation, 4.6; range, 7-35). 25
patients had normal-to-high motivation (score of ≥21) and 6 had low
motivation (score of less than 20). Good internal consistency (Cronbach’s alpha
of >0.5) and inter-rater reliability (as measured by intra-class correlation
coefficient of >0.5) was demonstrated in the 28-item group (n=18).
There was less consistency in the 7-item sample; the Cronbach’s alpha
for intrinsic items was 0.61, but was only 0.27 for extrinsic items.
Conclusion. The 28-item SMRS showed good inter-rater reliability
and internal consistency. The reliability of the 28-item SRMS suggests
that adaptation of the SRMS from the Sports Motivation Scale was
successful.

2.  A Master thesis here:
Pilot reliability and validity of the stroke rehabilitation motivation scale 

3.  Environmental factors in stroke rehabilitation 

 

4.   The development of a questionnaire to assess motivation in stroke survivors: a pilot study.

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